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本文总结了 1993～1997年我院高危妊娠的管理。5年中高危妊娠2 425例,占妊娠总数的32.60％。其中215例合并心脏病患者无1例母儿不良结局。贫血、早产、产前出血等发生率都有下降趋势,而妊娠期糖尿病的发生率逐年增高(P<0.01)。5年中3例孕产妇死亡,死亡率为4O.03/万;高危妊娠组的围产儿死亡率为1.90‰,与同期的围产儿死亡率7.03‰比较,差异无显著性(P>0.05),说明高危妊娠管理在提高产科质量中起着重要作用。
This article summarizes the management of high-risk pregnancy in our hospital from 1993 to 1997. In the 5 years, there were 2 425 cases of high-risk pregnancies, accounting for 32.60% of the total number of pregnancies. One of 215 patients with heart disease without maternal and child adverse outcomes. Anemia, premature birth, prenatal bleeding and other incidence rates have declined, while the incidence of gestational diabetes increased year by year (P <0.01). 3 cases of maternal death in 5 years, the mortality rate of 4O.03 / million; high-risk pregnancy group perinatal mortality was 1.90 ‰, and perinatal mortality rate of 7.03 ‰ compared to the same period, the difference was not significant (P> 0.05) , Indicating that the management of high-risk pregnancy plays an important role in improving the quality of obstetrics.